Organization
THA NATURAL NUTRITIONIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH AUGUSTINE RD (DIRECTOR/OWNER)
(203) 790-4700
Entity
Organization
Contact information
Practice address
103 MILL PLAIN RD, SUITE 1, DANBURY, CT 06811-5171
(203) 790-4700
(203) 790-4601
Mailing address
103 MILL PLAIN RD, SUITE 1, DANBURY, CT 06811-5171
(203) 790-4700
(203) 790-4601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00849120
NY
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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